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the grading of VUR should be made through MCU test. grade 1 and grade2 resolve spontaneoulsy usually and can be managed with low dose antibiotics. grade 3,4,5 indicates severe involvement of kidney, first treated with antibiotics if not trreated the kidneys may be damaged permanently causing renal failure. So grade 4 and 5 requires surgery to prevent VUR. ------ Dr. muralidhar
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∙ 12y ago
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